The clinical application of laparoscopic surgery following trans-anal ileus tube for malignant colorectal obstruction
10.3760/cma.j.issn.1673-4904.2012.26.007
- VernacularTitle:经肛肠梗阻导管减压联合腹腔镜手术在结直肠恶性梗阻性疾病中的临床应用
- Author:
Jianhua CU
;
Rende CUO
;
Zhibin ZHANG
;
Yi WANG
- Publication Type:Journal Article
- Keywords:
Intestinal obstruction;
Decompression,surgical;
Colorectal neoplasms;
Laparoscopes
- From:
Chinese Journal of Postgraduates of Medicine
2012;35(26):20-23
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the clinical effects of trans-anal ileus tube combined with laparoscopy for left-side acute malignant colorectal obstruction.Methods From March 2007 to April 2011,49 patients with left-side acute malignant colorectal obstruction were treated by trans-anal ileus tube.Curative effects were evaluated according to abdominal circumference,intra-abdominal pressure,drainage volume,patient's symptom relief and imaging examinations.After irrigation and drainage ranged from 9 - 11 d,the radical operations and anastomosis were performed by laparoscopy.Results The trans-anal ileus tube was successfully implanted in 45 patients.Abdominal circumference decreased from ( 101.0 ± 5.0) cm to (87.0 ± 3.0) cm (P=0.020) ; intra-abdominal pressure decreased from (26.5 ± 3.4) cm H2O (1 cm H2O =0.098 kPa) to ( 13.7 ± 2.8) cm H20 (P=0.015) ;drainage volume was 800 - 2500 ml/d.Estimated through X ray and CT,obstruction was relieved.Forty patients were performed radical resection and first stage anastomosis by laparoscopy after decompression,and there was no serious complication.Conclusion Decompression and drainage through trans-anal ileus tube combined with laparoscopic for left-side acute malignant colorectal obstruction were coincided with the principle of damage control surgery and fast track surgery.
